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Paperback. Zustand: Good. The new edition of this popular guide provides students with a solid review of surgery for the USMLE Step 2 and residency training exams. The Fourth Edition includes over 1,000 exam-type questions and answers, a paragraph-length explanation of each answer, and a 100-question practice test for self-assessment.…

Zustand: Good. 4th. Pages intact with minimal writing/highlighting. The binding may be loose and creased. Dust jackets/supplements are not included. Stock photo provided. Product includes identifying sticker. Better World Books: Buy Books. Do Good.

Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

Paperback. Zustand: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

paperback. Zustand: Acceptable. Connecting readers with great books since 1972. Used textbooks may not include companion materials such as access codes, etc. May have condition issues including wear and notes/highlighting. We ship orders daily and Customer Service is our top priority.

Paperback. Zustand: Good. The new edition of this popular guide provides students with a solid review of surgery for the USMLE Step 2 and residency training exams. The Fourth Edition includes over 1,000 exam-type questions and answers, a paragraph-length explanation of each answer, and a 100-question practice test for self-assessment.…

Softcover. Zustand: Very Good. 4th Edition. Has some markings. Has light shelf and corner wear. Has remainder mark at bottom outside edge of pages. Quantity Available: 1. ISBN: 0071378146. ISBN/EAN: 9780071378147. Pictures of this item not already displayed here available upon request. Inventory No: 1560778151. …

Soft cover. Zustand: Good. No Jacket. 1st Edition. A scarce monograph documenting an important development in the history of medicine and surgery for the control of ascites secondary to liver disease. Softcover, stapled wraps, printed/illustrated front cover, 8 7/8 x 5 7/8 inches, 61 pp., references, figures. Good (moderate ruffling, corners; mild edgewear; mailing/postal labels, rear cover). (K011) The LeVeen shunt was the first widely successful, clinically viable device to employ the peritoneovenous method of controlling ascites. Introduced by Dr. Harry H. LeVeen in 1974, it completely revolutionized the management of refractory ascites by establishing a way to continuously cycle fluid back into the venous system using a pressure-sensitive, one-way valve. While it was the first design to gain massive global adoption and mainstream clinical success, it belongs to a timeline of specialized medical evolution: 1. Predecessors and Early Concepts (Before 1974) Before Dr. LeVeen's design, physicians experimented with early variations of peritoneovenous shunting—such as the experimental Hyde shunt used between 1964 and 1974. However, these early attempts struggled heavily with immediate clogging, backward blood flow, and severe surgical complications, meaning they never achieved widespread clinical validation. 2. The LeVeen Breakthrough (1974) Dr. LeVeen solved the backflow issue by engineering a unidirectional valve that opened only when the pressure in the abdominal cavity grew higher than the pressure in the central veins. This structural breakthrough allowed the medical community to adopt the device en masse, with thousands of placements performed globally through the late 1970s and 1980s. 3. Subsequent Evolution (1979 and Beyond) Though revolutionary, the LeVeen shunt required a strict pressure gradient to flow and was highly prone to clotting if the fluid became too thick. To fix this, the Denver shunt was introduced in 1979. It utilized LeVeen's core concept but added a flexible, subcutaneous pump chamber that patients or doctors could manually squeeze to flush out debris and keep the tube clear. Because the Denver modification drastically reduced valve failure, the original LeVeen design fell out of favor and was eventually discontinued in the late 1990s. …

Zustand: good. A copy that has been read, remains in good condition. All pages are intact, and the cover is intact. The spine and cover show signs of wear. Pages can include notes and highlighting and show signs of wear, and the copy can include "From the library of" labels or previous owner inscriptions. 100% GUARANTEE! Shipped with delivery confirmation, if you're not satisfied with purchase please return item! Ships via media mail.…

Soft cover. Zustand: Very Good. No Jacket. 1st Edition. A scarce monograph documenting an important development in the history of medicine and surgery for the control of ascites secondary to liver disease. Softcover, stapled wraps, printed/illustrated front cover, 8 7/8 x 5 7/8 inches, 61 pp., references, figures. Very good plus (mailing and postal labels, rear cover). (K011) The LeVeen shunt was the first widely successful, clinically viable device to employ the peritoneovenous method of controlling ascites. Introduced by Dr. Harry H. LeVeen in 1974, it completely revolutionized the management of refractory ascites by establishing a way to continuously cycle fluid back into the venous system using a pressure-sensitive, one-way valve. While it was the first design to gain massive global adoption and mainstream clinical success, it belongs to a timeline of specialized medical evolution: 1. Predecessors and Early Concepts (Before 1974) Before Dr. LeVeen's design, physicians experimented with early variations of peritoneovenous shunting—such as the experimental Hyde shunt used between 1964 and 1974. However, these early attempts struggled heavily with immediate clogging, backward blood flow, and severe surgical complications, meaning they never achieved widespread clinical validation. 2. The LeVeen Breakthrough (1974) Dr. LeVeen solved the backflow issue by engineering a unidirectional valve that opened only when the pressure in the abdominal cavity grew higher than the pressure in the central veins. This structural breakthrough allowed the medical community to adopt the device en masse, with thousands of placements performed globally through the late 1970s and 1980s. 3. Subsequent Evolution (1979 and Beyond) Though revolutionary, the LeVeen shunt required a strict pressure gradient to flow and was highly prone to clotting if the fluid became too thick. To fix this, the Denver shunt was introduced in 1979. It utilized LeVeen's core concept but added a flexible, subcutaneous pump chamber that patients or doctors could manually squeeze to flush out debris and keep the tube clear. Because the Denver modification drastically reduced valve failure, the original LeVeen design fell out of favor and was eventually discontinued in the late 1990s. (K011). …